Individual provider Active NPI

Betty Ann Dobbs, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ackerman, MS
National Provider Identifier
1558022665
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905147 Issued in MS
Practice address
1030 West Main Street
Ackerman, MS 39772
Phone
(662) 705-3239
Fax
(662) 705-8795
NPI assigned
Jan 2, 2022
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 905147 MS
Primary Care Nurse Practitioner 363LP2300X 905147 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905147 MS Primary
Registered Nurse 163W00000X R876207 MS
Community Health Registered Nurse 163WC1500X R876207 MS
Nurse Practitioner 363L00000X 905147 MS

Addresses

Primary practice location

1030 West Main Street
Ackerman, MS 39772

Mailing address

1030 West Main St
268 Penderville Rd Weir, Ms 39772 (Home Address)
Ackerman, MS 39735
Phone (662) 285-3239

Other practice location 1

102 Brickerton St
Columbus, MS 39701-3608
Phone (662) 570-1109 ext. 104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609002107 MS Practitioner - Nurse Practitioner 6406234046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R876207MSMDCommunity Health Registered Nurse
905147MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yeates Consulting ,LLC CurrentSince May 26, 2022 Accepting new patients
Positive Thinking LLC CurrentSince Apr 6, 2025 Accepting new patients
Right Track Medical Group, Inc CurrentSince Jul 1, 2025 Accepting new patients
Father's Child Ministry Past Accepting new patients

Locations

1030 W Main St
Ackerman, MS 39735
Phone (662) 285-3239

104 Brickerton St
Columbus, MS 39701
Phone (662) 251-4632

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1558022665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WEST MAIN ST",
            "address_2": "268 PENDERVILLE RD WEIR, MS 39772 (HOME ADDRESS)",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "39735",
            "telephone_number": "662-285-3239",
            "fax_number": "662-285-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WEST MAIN STREET",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "39772",
            "telephone_number": "662-705-3239",
            "fax_number": "662-705-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Brickerton St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397013608",
            "country_code": "US",
            "telephone_number": "662-570-1109 x104",
            "fax_number": "662-328-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MS",
            "license": "905147",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "905147",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905147",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R876207",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MS",
            "license": "R876207",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ackerman, MS

Sources for this page

Verify at the official NPI Registry.